FORM 1023-EZ for SOUTH FLORIDA WELLNESS NETWORK INC

Field Data
EIN 47-1087192
Case Number EO-2014227-000018
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH FLORIDA WELLNESS NETWORK INC
Organization’s Mailing Address 1715 SE 4TH AVENUE
City FT LAUDERDALE
State FL
ZIP 33316-2515
Accounting period End 12
Primary contact name ILISA SMUKLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ILISA SMUKLER
DIRECTOR AND PRESIDENT/CEO
400 NW 21ST STREET
WILTON MANORS FL 33311-3822

Officer/Director/Trustee Two

RHONDA BOHS
DIRECTOR AND TREASURER/CFO
1110 JOHNSON STREET
HOLLYWOOD FL 33019-1135

Officer/Director/Trustee Three

ILLENE GREENBERG
DIRECTOR AND SECRETARY
8661 NW 38TH STREET APT 245
SUNRISE FL 33351-6544

Organization’s website WWW.SFWN.ORG
Organization’s email SMUKLER@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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